Conservative therapy

At the beginning of each therapy, the fracture is repositioned, followed by fracture stabilization. Simple, non-displaced (non-displaced) fractures do not need to be set up. This type of fracture can easily be treated in a plaster cast for 6 weeks.

Most pediatric radius fractures fall under this category (approx. 3 weeks of plaster cast). All displaced fractures must first be brought into a correct (physiological) position. This is done by pulling and counter pulling on the upper arm and wrist under movable X-ray control (image converter control). Because the reduction maneuver is painful for the patient, a local anesthetic is applied beforehand.

Stunning

Freedom from pain can be achieved with a hernia gap anaesthesia, regional anaesthesia or a block anaesthesia.

Plaster

The necessary retention of the fracture is ensured by a plaster cast. A well modeled plaster splint, applied on the extension side and slightly surrounding the fracture area, is sufficient for this purpose. The plaster should reach up to the heads of the metacarpals and the wrist should be in the 20-30° extension position. Fist closure and elbow flexion should not be hindered by the plaster cast. After the plaster cast is applied, an X-ray position check should be performed to rule out secondary dislocation caused by the plaster cast.

Forearm plaster

Tips for handling the plaster splint after-treatment:

Healing of the hernia takes on average (4)-6 weeks. During this time the wrist must not be stressed (no lifting, supporting etc. )
Shoulder and elbow should be moved (prevents stiffening).
At least in the beginning, elevation of the arm (better venous and lymphatic drainage; better healing).
Active training of the fist closure. Alternating full extension of the fingers and closing of the fist with emphasis on the fingertips (better venous and lymphatic drainage; better healing).
Replace the pressing plaster immediately (risk of necrosis and pressure sores).
In case of sensitivity disorders (e.g. tingling in the fingers) and circulatory disorders of the fingers, consult your doctor immediately.
Have loosened plaster renewed (after swelling has subsided, 3-6 days) (risk of fracture dislocation due to insufficient stabilization).
X-ray follow-ups after 3 days, 1,2 and 4 weeks (evaluation of fracture position and fracture healing (fracture consolidation)).
After the fracture has healed, physiotherapeutic ergotherapy is recommended (promotion of wrist mobility function)